NCG510543_owner name change_20211123

NORTH CAROLINA
Environmental Quality
NC DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NPDES PERMITTING
PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION:
Permit Number: NCO() /_/ / / or NCGS_1_/_0_/_5_/_4_/_3_
1. Facility Name: Allen's Exxon Remediation Site
II. NEW OWNER/NAME INFORMATION:
1. This request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
XXXX c. Other (please explain): Site management has been transferred from private RP into
NCDEQ-DWM, UST Section State -Lead Program (TF#26128). NCDEQ has requested that the contact
information for the permit be modified to reflect this change.
2. New owner's name (name to be put on permit):
NCDEQ-DWM, UST Section, State Lead Program
3. New owner's or signing official's name and title:
Wayne Randolph
(Person legally responsible for permit)
Trust Fund Branch Head, UST Section
(Title)
4. Mailing address: 217 W. Jones Street City: Raleigh
State: NC Zip Code: 27603 Phone: ( 919 ) 323-7443
E-mail address: [e-mail]
III. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes X No ❑
2. Will the treatment system and discharge location remain the same? Yes X No ❑
"No Responses"
If either or both of these questions are answered "No" then more information will be needed to review the
request. Please attach documentation to describe and explain the changes to the facility activities, waste
North Carolina Department of Environmental Quality I Division of Water Quality
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
ueneianenr n Fnwrnim.mn main
919.707.9000

NPDES Name and Ownership Change
Page 2 of 2
stream, treatment process or outfall location. The Division may not be able to process the Permit
Name/Ownership Change request and may require that the new owner file a new permit application.
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
3. Information to document facility, waste stream, treatment system or outfall changes as noted in
item III above (if appropriate)
Applicant's Certification:
I, Wayne Radolph attest that this application for a name/ownership change has been reviewed
and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete. I understand that Permit Name/
Ownership Change can only take place through action taken by the Division of Water Resources and
that no actions on my part or the part of my company result in the automatic transfer of permit
coverage.
Signature:
i
Date: 11/17/2021
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 07/2021

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MICHAEL SCOTT
Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7018 1130 0000 1612 8649
Mr. James Allen
7010 Gold Mine Loop
Chapel Hill, NC 27516
NORTH CAROLINA
Environmental Quality
November 17, 2021
RE: Former Allen's Exxon Property
5402 NC 54 West
Chapel Hill, Orange County, NC
Incident # - 26128
Dear Mr. Allen:
The referenced property has been referred to the State of North Carolina Underground Storage
Tank (UST) Trust Fund Branch, State -Lead Program. According to the available information, this
property was used as a gas station. While operated as a gas station there were two sets of USTs
located in separate areas of the property; one set of tanks were removed in 1972, and the second
set of USTs owned by Foust Oil Company, Inc. (dissolved) were removed in 1989. Based on the
assessment performed releases occurred from both former UST areas. A remediation system was
installed and operated from 2016 to 2019. Based on the reported information the remediation
system was effective in reducing the footprint of the groundwater contamination, however,
groundwater contamination remains in excess of the NC 2L Standards. In addition, an onsite water
supply well has been reported with petroleum contaminants also in excess of the NC 2L Standards
and US EPA drinking water standards.
Due to the documented presence of residual contamination of groundwater and possibly soils at
the referenced property, further assessment and possible further remediation may be necessary.
Based on the information available, you, as the current owner of the property would not be
NORTH CAROLINA
Department or Environmental quality
North Carolina Department of Environmental Quality I Division of Waste Management
217 West Jones Street 11646 Mail Service Center I Raleigh, North Carolina 27699-1646
919.707.8200

considered the owner or operator of the tank(s), and therefore, not responsible for the release
associated with the original USTs in accordance with G.S. 143-215.94A.
To determine the risk posed by the contamination at the subject property, the UST Section needs
to access to the property to take all reasonable and necessary action(s) to conduct assessment and
remedial activities necessary to protect human health and the environment. Please sign the attached
site access agreement letter and return it to the address indicated on the letter. Please understand
that failure to allow access to the property could potentially make the property owner responsible
for cleanup under other State and Federal regulations. You will be notified when assessment and/or
remedial activities begin.
Should there be any questions concerning this action, please contact me at [phone] or Mark
Petermann at [phone].
cc: Mark Powers, RRO, [e-mail]
enclosure - Access Agreement
NORTH
Deperlment of Environmental Oual�
Sincerely,
Wayne andolph, CPM
Interim Trust Fund Branch Manager
UST Section
North Carolina Department of Environmental Quality I Division of Waste Management
217 West Jones Street 11646 Mail Service Center I Raleigh, North Carolina 27699-1646
919.707.8200